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Organization
SHANNON EASTON-CARR, MD, INC
Active
Organization
SHANNON EASTON-CARR, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON EASTON-CARR MD (PRESIDENT)
(805) 762-4739
Entity
Organization
Contact information
Practice address
2102 EDSEL AVE, MODESTO, CA 95350-2819
(805) 762-4739
(888) 462-8045
Mailing address
1241 JOHNSON AVE, BOX 313, SAN LUIS OBISPO, CA 93401-3306
(805) 762-4739
(888) 462-8045
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A111411
CA
Other
Enumeration date
02/27/2015
Last updated
06/05/2024
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